Individual
DR. DEEPAK KUMAR GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 W 168TH ST, ROOM 3-313, NEW YORK, NY 10032
(212) 305-0202
Mailing address
710 W 168TH ST, ROOM 3-313, NEW YORK, NY 10032-3726
(212) 305-0202
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
042.0014005
VT
2084N0400X
Neurology Physician
Primary
284526
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2012
Last updated
06/07/2018
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